Question: I am a woman in her mid-fifties with deep nasolabial folds. Would Juvederm injections give me a more youthful look?

Answer: Yes, it seems like you would be a great candidate for Juvederm in your nasolabial folds.  Depending on how deep the folds are, it may take anywhere from one to four syringes to give you an adequate improvement, but as long as it is performed by an experienced injector, you will get a very natural looking rejuvenation that will last somewhere between nine and twelve months and in some individuals quite a bit longer.

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Question: Is it possible that Botox will paralyze the wrong muscle and affect the face incorrectly?

Answer: Yes, it is definitely possible that Botox injections can affect the wrong muscle and relax this muscle creating a side effect or a complication of the injection.  It is obviously imperative that you see an injector with a vast amount of experience using Botox so that this complication does not result as it really should not in experienced hands.

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Question: Would you agree that it is early to start having Botox injections at a younger age to use it as a preventative method of treatment?

Answer: I think Botox is an excellent option to prevent the appearance of wrinkles as it will relax muscles that inevitably create these lines that are part of the aging process.  By starting Botox at an early time period, we can prevent these lines from ever forming and as long as the patient keeps up with the Botox treatments, they will maintain this youthful appearance.

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Question: I’ve had a hard time finding out how long the results of Dysport last. How long can I expect injections to last?

Answer: Neuromodulators such as Botox and Dysport actually have an identical active molecule, which is botulinum toxin A.  This molecule irreversibly binds to the end of the nerve and prevents the nerve from sending an impulse to the muscle to make it contract.  The nerve simply grows a new end plate and this is how the effect wears off.  Botox and Dysport, therefore, should have very similar longevities and in most patients this longevity is around three to four months.

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Question: I’ve heard that Dysport spreads further from the point of injection than Botox so fewer injections are needed. Does this mean that you pay less overall with Dysport than Botox?

Answer: If Dysport does indeed diffuse more than Botox that does not necessarily mean that you need fewer injections or that a smaller amount of the product is needed.  Due to this fact, overall, Dysport is priced similar to Botox and the amount that is necessary would also be similar to the Botox alternative and, therefore, overall cost is similar.  The complexities of the difference between Botox and Dysport are many but, overall, they are very similar products. 

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